Organization
THE MAGICAL ONES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA WILTBANK (OWNER/THERAPIST)
(206) 391-6721
Entity
Organization
Contact information
Practice address
18531 61ST PL NE, KENMORE, WA 98028-3201
(206) 391-6721
Mailing address
18531 61ST PL NE, KENMORE, WA 98028-3201
(206) 391-6721
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003849
WA
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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